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Organization

OREGON COMMUNITY DENTAL CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
R. MIKE SHIRTCLIFF DMD (PRESIDENT/CEO)
(888) 468-0022
Entity
Organization

Contact information

Practice address
671 SW MAIN ST, WINSTON, OR 97496-6571
(888) 468-0022
(541) 504-3907
Mailing address
442 SW UMATILLA AVE STE 200, REDMOND, OR 97756-7039
(888) 468-0022
(541) 504-3907

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
03/16/2012
Last updated
03/16/2012
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